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Year : 2021  |  Volume : 9  |  Issue : 1  |  Page : 75-81

Saudi Arabian Consensus Statement on Vagus Nerve Stimulation for Refractory Epilepsy

1 Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
2 Department of Neurosciences, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
3 Department of Neurosciences, King Fahad Medical Centre, Riyadh, Saudi Arabia
4 Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

Correspondence Address:
Dr. Khalid Alqadi
King Faisal Specialist Hospital and Research Centre, MBC # J-76, P.O. Box: 40047, Jeddah 21499
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjmms.sjmms_578_19

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Vagus nerve stimulation (VNS) is an approved adjunctive therapy for refractory epilepsy and used in patients who are not candidates for resective epilepsy surgery. In Saudi Arabia, VNS device implantation is being performed since 2008 by several comprehensive epilepsy programs, but with variable protocols. Therefore, to standardize the use of VNS, a task force was established to create a national consensus. This group consisted of epileptologists, epilepsy surgeons and a VNS nurse coordinator working in comprehensive epilepsy centers and dealing with refractory epilepsy cases. The group intensively reviewed the literature using Medline, EMBASE, Web of Science and Cochrane Library, in addition to physician's manual. Evidence is reported as three stages: preimplantation and patient selection, a perioperative phase involving all stakeholders and post-operative care with specific programming pathways.

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